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General NPI Number Information
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NPI Number | 1144069352
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Entity Type | Individual
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Provider Name | RIAN B DUNKIN LPC, MA
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 200 NE MISSOURI RD STE 307
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City | LEES SUMMIT
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State | MO
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Zip | 64086-4722
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Country | US
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Telephone | 816-839-9427
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Fax |
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Provider Business Mailing Address
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Address Line | 4429 S RIVER BLVD STE BC
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4659
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Country | US
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Telephone | 816-768-0090
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Fax | 816-912-1739
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2016008299
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2022049227
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License Number State | MO
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